CMS Price Transparency Data
CT scan, head (with contrast)
Facility: Clovis Community Medical Center
Billing Code: 70460 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70460
- Insurance Median: $158
- Cash Discount Price: $2,400
- vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Clovis Community Medical Center is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,400. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.88x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$2,400
Average discount available for prompt cash payment at this facility.
Insurance Median
$158
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$179.2
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $2,400 (1339%)
Insurance Median: $158 (88%)
Cash: $2,400 (1339% of Medicare)
Ins. Median: $158 (88% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $179.2 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Advantek Table Mountain Rancheria Tribal Member | $53 - $226 | 30% |
| Aetna | $53 - $1,160 | 30% |
| Blue Cross Blue Shield | $53 - $1,908 | 30% |
| Blue Shield | $53 - $1,707 | 30% |
| Blue Shield 65 Plus Hmo Ehs | $53 - $226 | 30% |
| Blue Shield 65 Plus Hmo First Choice | $53 - $226 | 30% |
| Blue Shield Hmo-Cvmp/Medpro | $53 - $226 | 30% |
| Blue Shield Promise - Imperial | $53 - $226 | 30% |
| Blue Shield Saint Agnes | $53 - $226 | 30% |
| Blue Shield Sante | $53 - $226 | 30% |
| Brand New Day | $53 - $226 | 30% |
| Bscphp - Dhmso | $53 - $226 | 30% |
| Bscphp - First Choice | $53 - $226 | 30% |
| Bscphp Hmo - First Choice | $53 - $226 | 30% |
| Care1St Hmo - Ehs | $53 - $226 | 30% |
| Cares Act Provider Relief Fund | $53 - $226 | 30% |
| Cigna | $53 - $1,861 | 30% |
| Gemcare Hmo | $53 - $226 | 30% |
| Generic | $53 - $226 | 30% |
| Generic Bscphp | $53 - $226 | 30% |
| Generic Victims Of Crime | $53 - $226 | 30% |
| Hartford Life Supplement | $53 - $226 | 30% |
| Healthnet Hmo - Cvmp/Medpro | $53 - $226 | 30% |
| Healthnet Hmo - Dhmso | $53 - $226 | 30% |
| Healthnet Hmo - La Salle | $53 - $226 | 30% |
| Healthnet Hmo - Sante | $53 - $226 | 30% |
| Healthnet Sante | $53 - $226 | 30% |
| Healthnet Sante - Sub Cap Dual Risk | $53 - $226 | 30% |
| Healthnet Sante Dual Risk | $53 - $226 | 30% |
| Humana | $53 - $2,550 | 30% |
| Medi-Cal Innovative Integrated Health | $53 - $226 | 30% |
| Medicare (plans) | $53 - $226 | 30% |
| Meritage Blue Shield 65 Plus | $53 - $226 | 30% |
| Meritage Brand New Day | $53 - $226 | 30% |
| Meritage Healthnet Hmo | $53 - $226 | 30% |
| Railroad Part A | $53 - $226 | 30% |
| Railroad Part A & B | $53 - $226 | 30% |
| Railroad Part B | $53 - $226 | 30% |
| Sante | $53 - $226 | 30% |
| Sante Sub Cap Healthnet Seniority | $53 - $226 | 30% |
| Sante Sub Cap-Blue Shield/Sante | $53 - $226 | 30% |
| Sante-Blue Shield/Sante | $53 - $226 | 30% |
| Sante-Healthnet Seniority | $53 - $226 | 30% |
| Sante-Sub Cap Ma Brand New Day | $53 - $226 | 30% |
| Scan Health Plan | $53 - $226 | 30% |
| Sequoia Pace - Peak Tpa | $53 - $226 | 30% |
| Todays Pyramid | $53 - $226 | 30% |
| UnitedHealthcare | $53 - $1,573 | 30% |
| Us Marshal | $53 - $226 | 30% |
| Victims Of Crime | $53 - $226 | 30% |
| Well Path (Cfmg) | $53 - $3,300 | 30% |
| Wellcare | $53 - $226 | 30% |
| Alignment Health Plan | $58 - $248 | 32% |
| Champion Health Plan Of California Ma | $58 - $248 | 32% |
| Innovative Integrated Health Community Plans Hmo | $58 - $248 | 32% |
| Imperial Health Plan Hmo | $61 - $259 | 34% |
| Correctcare Integrated Health | $69 - $293 | 39% |
| Coalinga State Hospital | $106 - $451 | 59% |
| Naphcare Inc-Mendota | $114 - $485 | 64% |
| Cal Caloptima | $143 | 80% |
| Ccs Fresno | $143 | 80% |
| Ccs Kern | $143 | 80% |
| Ccs Kings | $143 | 80% |
| Ccs Madera/Sacramento | $143 | 80% |
| Ccs Mariposa | $143 | 80% |
| Ccs Merced | $143 | 80% |
| Ccs Stanislaus | $143 | 80% |
| Ccs Tulare | $143 | 80% |
| Chdp | $143 | 80% |
| Fresno County Funded Specialty Care | $143 | 80% |
| Generic Care Out Of County | $143 | 80% |
| Generic Ccs Other Counties | $143 | 80% |
| Genetically Handicapped Person | $143 | 80% |
| Gold Coast Medi-Cal | $143 | 80% |
| Medi-Cal Alameda Alliance For Health | $143 | 80% |
| Medi-Cal Blue Shield Promise Health | $143 | 80% |
| Medi-Cal California Health & Wellness Plan | $143 | 80% |
| Medi-Cal Cencal Health | $143 | 80% |
| Medi-Cal Community Health Group | $143 | 80% |
| Medi-Cal Contra Costa Health Plan | $143 | 80% |
| Medi-Cal Health Plan Of San Mateo | $143 | 80% |
| Medi-Cal Inland Empire Health | $143 | 80% |
| Medi-Cal Kern Family Health | $143 | 80% |
| Medi-Cal La Care Health | $143 | 80% |
| Medi-Cal Molina | $143 | 80% |
| Medi-Cal Partnership Health Plan Of Ca | $143 | 80% |
| San Francisco Health Plan Medi-Cal | $143 | 80% |
| Santa Clara Family Health Plan - Premier Health | $143 | 80% |
| Santa Clara Family Health Plan - Valley Health | $143 | 80% |
| Kaiser | $179 | 100% |
| Health Plan Of San Joaquin | $214 | 119% |
| Sequoia Pace | $214 | 119% |
| Adventist -Mcl Calviva Sub Cap | $236 | 132% |
| Healthnet | $275 - $1,761 | 153% |
| Central Valley Medical Providers | $750 - $2,100 | 419% |
| Community Care | $765 | 427% |
| Employer 90/40 | $1,200 | 670% |
| Central Ca Indian Health | $1,650 | 921% |
| Nx Health Network Ppo | $1,650 | 921% |
| Healthsmart | $2,040 - $2,400 | 1138% |
| Coventry Health Care (First Health Network) | $2,250 | 1256% |
| Network By Design | $2,250 | 1256% |
| Generic Multiplan | $2,550 | 1423% |
| Phcs | $2,550 | 1423% |